Public Health Final Test 2019

Provision of and access to health services; alcohol and tobacco use; sufficient quality of food and water

Effective public health policy; income/ wealth; health education

Political environment; religion; social security

All of the above answers are correct

50-60%

20%

10-15%

None of the above

C.E.A. Winslow

Institute of Medicine (IOM)

D. Acheson

R. Beaglehole

Reductions in child mortality; vaccine preventable diseases; access to safe water and sanitation

Malaria prevention and control; prevention and control of HIV/ AIDS; tuberculosis control

Control of neglected tropical disease; tobacco control; increased awareness and response for improving global road safety

All the above answers

Longevity; education; income

Infant mortality rate; longevity; income

Total fertility rate; education; life satisfaction

None of the above

The source of funding is compulsory health insurance; earmarked premium paid by employers and employees

Universal access to health care for all citizens based on residency

Predominantly public providers and governmental ownership

Correct answer B and C

Austria, France, Germany

UK, Denmark, Norway

Italy, Spain, Portugal

Correct answers A and C

Due to demographic changes, the system needs to support a steadily increasing number of retirees who no longer pay into the system

Demographic changes are leading to increased burden on tax revenues, both quantitative (increased number of old people) and qualitative (more expensive healthcare services and technology)

Financial cutbacks by companies, caused by current economic crises, leading to a steep climb in the unemployment rate, and, as a result, fever employees who contribute

Correct answers A and C

The structure and organisation of Polish health care system has experienced significant changes since 1999. It shifted from a centralised state financed system with a national health service apparatus to a decentralised mandatory health insurance system

Since 2005, the stewardship, management and financing functions are shared between National Health Fund (NHF), Ministry of Health and territorial self-government administration

The overall responsibility for the health care organisation, in which resources are allocated and health care planned, belongs to the Ministry of Health

All above are correct

Six subdisciplines are taken into calculation of the index: Patient rights and information; waiting times for treatment; outcomes; range and reach of services provided; prevention; and pharmaceuticals

The maximum number of points is 1000, while the minimum possible score is 333

The highest ranked countries in 2018 were Switzerland, the Netherlands and Norway

All of the above

Reduction of premature mortality from major NCDs; elimination of vaccine-preventable diseases; reduction of mortality from external causes

Increase in life expectancy; reduction in the gaps in health status associated with social determinants; reduction of mortality from external causes

Life satisfaction; infant mortality; social support

None of the above

Low nicotine dependence

Moderate nicotine dependence

High nicotine dependence

Very high nicotine dependence

Healthy Life Years (HLY)

Quality Adjusted Life Years (QALY)

Life expectancy at birth

None of the above

A decennial censur

Continuous monitoring of births and deaths with certification of cause of death

Surveillance and response system focused on epidemic and vaccine-preventable diseases as well as on emerging diseases

All of the above

Telephones, pagers

Database servers

Personal computers and printers

None of the above

Opportunities available to employees at the workplace or through outside organisations to begin, change or maintain health behaviours

Formal or informal written statements that are designed to protect or promote employee health. They affect large groups of employees simultaneously

Part of an overall compensation package including health insurance coverage and other services or discounts regarding health

Physical factors at and nearby the workplace that help protect and enhance employee health

Diagnostics, including laboratory tests

Referrals to specialist health care services in outpatient clinic

Referrals to hospital treatment

All above are correct

The presence of differences in health which are unnecessary, avoidable, unfair and unjust

The lack of differences in health which are unnecessary, avoidable, unfair and unjust

Situation in which majority of a country citizens is in good health status

All above answers are false

The equality in taking advantage of healthcare in EU is the fundamental right of citizens a given country

Everyone who needs the medical care should be treated equally, irrespective of income, race or special position

All above answers are correct

All above answers are false

70% of expenditures regarding patients with chronic diseases devoted to prevention could enable to avoid the total sum of money spent for these patients

The expenditures for prevention activities do not have a significant influence on curative medicine

From the Public Health point of view, we should take into consideration both: Medical cost and loss of economic productivity

All above answers are false

Smoking

Family history of stroke

Alcohol

Hyperhomocysteinemia

“A” recommendation

“B” recommendation

“C” recommendation

“D” recommendation

Salary, capitation, fee for service

Contract, capitalism, fundholding

All above are correct

All above are false

Global Domestic Product has no impact on the public expenditures on health

Value of percentage of Global Domestic Product has an impact on the public expenditures on health

Capitation and fee of service are not motivating systems for better quality of service

All above are false

60% for salaries, 40% for accommodation and medicines

40% for salaries, 60% for accommodation and medicines

50% for salaries, 25% for accommodation and 25% for medicines

All above are false

That person (the patient)

The relevant institution entitled to such a request (insurance company, working place)

All above are correct

All above are false

Temporary disability to work, damage to one’s health

Inability to cope on one’s own, granting disability pension

All above are correct

All above are false

Be based on up-to-date state of medical knowledge or grounded on relevant documentation

Be in accordance with the principles of medical deontology

All above are correct

All above are false

Social and informal connections

Gaining profits or benefits by a physician

All above are correct

All above are false

Formal part, descriptive part and part including proper expert medical opinion with a reply to question(s) asked completed with their justifications

Case description and medical conclusions

Way of treatment and medical prognosis

All above are false